| NPI | 1346785367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKERA L MCKENZIE CEO 337-602-6391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2023-06-21 |